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General NPI Number Information
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NPI Number | 1467825919
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Entity Type | Organization
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Legal Business Name | GOOD TALK COUNSELING SERVICES,LLC
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 110 N 37TH ST STE 301
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City | NORFOLK
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State | NE
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Zip | 68701-3283
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Country | US
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Telephone | 402-649-5930
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Fax | 402-379-6739
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Provider Business Mailing Address
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Address Line | 110 N 37TH ST STE 301
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City | NORFOLK
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State | NE
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Zip | 68701-3283
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Country | US
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Telephone | 402-649-5930
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Fax | 402-379-6739
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELANIE SMITH
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Credential | LMHP
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Telephone | 402-649-5930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4468
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License Number State | NE
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